YOUR BONES START DECLINING AT 30 - THEN MENOPAUSE HITS | Dr. Nirad Vengsarkar | Candid Confessions

Bone health after 30 is something almost nobody warned us about — and for women, menopause brings a second decline. In this episode of Candid Confessions With Chhavi, Orthopaedic, Joint Replacement & Spine surgeon DR. NIRAD VENGSARKAR, joins us for an honest conversation about bones, knees, back and what really happens as we age.

Why bone mass builds only until about 30, why knee replacement is far more common in women than men, and why muscle mass — not just calcium — may be the thing we're all underestimating.

We also address:

• Muscle mass, strength training and weight-bearing exercise

• Posture, slip discs and the everyday habits that quietly add up

• Calcium vs Vitamin D

• Knee replacement: why pain and quality of life matter more than an X-ray

• Robotic vs conventional knee surgery — cost, recovery, physiotherapy, and his frank take on the marketing around it

• When a second opinion is worth taking, and what recovery honestly feels like.

If you've been putting your knees, back and bone health at the bottom of your list while looking after everyone else, this one is for you.

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GUEST: DR. NIRAD VENGSARKAR, Orthopaedic, Joint Replacement & Robotic Surgeon

Contact: niradcare@gmail.comInstagram - https://www.instagram.com/dr.niradvengsarkar

YT: https://www.youtube.com/@dr.nirad.vengsarkar

Website: https://drniradvengsarkar.com/

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CHAPTERS:

(3:12) Medical science has advanced all the way to robotic surgeries, so why does the need for knee and hip replacements keep rising? Decline of bone health starting at 30 & menopause.

(04:31) When someone comes to you at 60 with a problem, what are you thinking about the next 25 years?

(04:58) What did the person who comes to you at 60 do in their 20s that led them here? Increase in exercising but decline in bone health.

(07:02) Tell me more about muscle mass and how it develops.

(08:37) Why do so few doctors actually know about exercise?

(09:29) How important is losing weight compared to going in for surgery?

(11:57) What should we be doing in our twenties — or even earlier — in terms of activity and diet for bone health?

(12:51) Why shouldn't younger people start strength training?

(16:12) Can you look at a young person's walk and posture and predict what problems they'll have in 20 years?

(18:24) Many people are terrified of surgery and would rather live in pain — are conventional surgeries really that scary?

(21:13) If your mobility is around 50% before surgery, will it become 100% after?

(22:17) What's the difference between conventional knee and hip replacement and robotic surgery?

(24:54) What are the risks involved in a robotic surgery?

(25:46) Besides knees and hips, what other kinds of robotic surgeries can be done?

(26:17) What about slip disc — can that be done robotically?

(27:16) Who is the perfect candidate for a robotic surgery?

(28:33) Tell me something about robotic surgeries that an orthopedic surgeon wouldn't normally reveal.

(30:00) Truth about calcium for bone health.

(32:13) When a surgeon says you need surgery, how much truth is there in that — can it sometimes be avoided, and should it be?

(35:04) Is there a way to slow degeneration with age, or is a certain amount of wear inevitable at 40 and 60?

(36:12) Given that remodeling, could you have an entirely different skeleton after 10 years?

(36:48) How is it possible that people transform their bodies and lift weights after 50 and their back pain disappears?

(37:50) How harmful is anabolic steroid use for weight lifting, especially for bone health? How safe are weight loss drugs?

(40:12) Audience question: I was diagnosed with ankylosing spondylitis at 25 and it's worsening — what should I be doing?

(43:43) Closing thoughts.